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Organization
TODD R WALDORF DO PLLC
Active
Organization
TODD R WALDORF DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ROBERT WALDORF D.O. (OWNER / PHYSICIAN)
(518) 526-9996
Entity
Organization
Contact information
Practice address
555 BREED HILL ROAD, CROWN POINT, NY 12928-1731
(518) 526-9996
(518) 240-4172
Mailing address
555 BREED HILL ROAD, CROWN POINT, NY 12928-1731
(518) 526-9996
(518) 240-4172
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
NULL
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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